Exam 5: Psychiatric Mental Health Nursing in Community Settings

In a rush of words,a patient tells the community mental health nurse,"Everything's a disaster! I cannot concentrate.My disability check did not come.My roommate moved out and I cannot afford the rent.My therapist is moving away.I don't know what to do and feel like I'm coming apart." Which nursing diagnosis applies?

A suspicious,socially isolated patient lives alone,eats one meal a day at a local soup kitchen,and spends the remaining daily food allowance on cigarettes.Select a community psychiatric nurse's best initial action.

Which term would be more applicable to a community mental health nurse than a nurse working in an operating room?

Which patient would be most appropriate to refer for assertive community treatment (ACT)? A patient diagnosed with:

Which activity is appropriate for a nurse engaged exclusively in community-based primary prevention?

Which statement(s)most clearly reflect the stigma of mental illness? (Select all that apply. )

A community psychiatric nurse assesses that a serious and persistently mentally ill patient with a mood disorder is more depressed than on the clinic visit a month ago,but the patient says,"I feel the same." Which intervention supports the nurse's assessment while preserving the patient's autonomy?

A patient with schizophrenia lives in the community.On a home visit,the community psychiatric nurse case manager learns that the patient: · Will begin attending an activities group at the mental health outreach center. · Is worried about being able to pay for the therapy. · Does not know how to get from home to the outreach center. · Has an appointment to have blood work at the same time the activities group meets. · Wants to attend services at a church that is a half mile from the patient's home. Which task(s)would be part of the role of a community mental health nurse? (Select all that apply. )

A patient tells the nurse at the clinic,"I have been leaving out my midday dose of antidepressant medication.I have lunch with friends and don't want them to know I take pills." Select the nurse's most effective intervention.

A nurse makes an initial visit to a homebound patient with mental illness.A family member offers the nurse a cup of coffee.Select the nurse's best response.

A community psychiatric nurse facilitates medication compliance for a patient by having the health care provider prescribe depot medications every 3 weeks at the clinic.For this plan to be successful,which factor will be of critical importance?

Which level of prevention activities would a nurse in an emergency department employ most often?

Select the example of primary prevention.

Which statement(s)by patients with serious,persistent mental illness best demonstrate that the case manager has established an effective long-term relationship? (Select all that apply. ) "My case manager:

The nurse would refer which patient to a partial hospitalization program? A patient who:

Which competency is more important for a nurse who works in a community mental health center than a psychiatric nurse who works in an inpatient unit?

The nurse assigned to assertive community treatment (ACT)should explain the program's treatment goal as:

A community mental health nurse has worked for months to establish a relationship with a delusional,suspicious patient.The patient recently lost employment and could no longer afford prescribed medications.The patient says,"Only a traitor would make me go to the hospital." Select the nurse's best initial intervention.

A Category V tornado hits a community,destroying many homes and businesses.Which nursing intervention would best demonstrate compassion and caring?

A patient with serious mental illness lives alone in a neighborhood.The patient receives monthly depot medication injections but lately has missed regular clinic appointments,saying,"My life is so busy I couldn't find time to come in." To prevent decompensation and hospitalization,the community mental health nurse should arrange for: